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General NPI Number Information
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NPI Number | 1710597745
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Entity Type | Organization
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Legal Business Name | RENEW CHILD AND FAMILY CENTER
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 321 S MAIN ST STE 211
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City | ANN ARBOR
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State | MI
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Zip | 48104-2128
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Country | US
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Telephone | 734-812-5333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | MASON
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State | MI
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Zip | 48854-0010
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE DIRECTOR
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Name | MRS. MELISSA ANN ALDRICH
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Credential | LMSW, LCSW
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Telephone | 734-812-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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